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冥想和瑜伽治疗创伤后应激障碍:随机对照试验的荟萃分析评价。

Meditation and yoga for posttraumatic stress disorder: A meta-analytic review of randomized controlled trials.

机构信息

Department of Psychiatry, University of Rochester Medical Center, United States.

School of Nursing, University of Rochester Medical Center, United States; U.S. Department of Veterans Affairs Center of Excellence for Suicide Prevention, Canandaigua VA Medical Center, United States.

出版信息

Clin Psychol Rev. 2017 Dec;58:115-124. doi: 10.1016/j.cpr.2017.10.004.

Abstract

Posttraumatic stress disorder (PTSD) is a chronic and debilitating disorder that affects the lives of 7-8% of adults in the U.S. Although several interventions demonstrate clinical effectiveness for treating PTSD, many patients continue to have residual symptoms and ask for a variety of treatment options. Complementary health approaches, such as meditation and yoga, hold promise for treating symptoms of PTSD. This meta-analysis evaluates the effect size (ES) of yoga and meditation on PTSD outcomes in adult patients. We also examined whether the intervention type, PTSD outcome measure, study population, sample size, or control condition moderated the effects of complementary approaches on PTSD outcomes. The studies included were 19 randomized control trials with data on 1173 participants. A random effects model yielded a statistically significant ES in the small to medium range (ES=-0.39, p<0.001, 95% CI [-0.57, -0.22]). There were no appreciable differences between intervention types, study population, outcome measures, or control condition. There was, however, a marginally significant higher ES for sample size≤30 (ES=-0.78, k=5). These findings suggest that meditation and yoga are promising complementary approaches in the treatment of PTSD among adults and warrant further study.

摘要

创伤后应激障碍(PTSD)是一种慢性且使人虚弱的疾病,影响着美国 7-8%的成年人的生活。尽管有几种干预措施显示出对治疗 PTSD 的临床有效性,但许多患者仍有残留症状,并寻求各种治疗选择。补充性健康方法,如冥想和瑜伽,有望治疗 PTSD 的症状。这项荟萃分析评估了瑜伽和冥想对成年患者 PTSD 结果的效果大小(ES)。我们还检查了干预类型、PTSD 结果测量、研究人群、样本量或对照条件是否调节了补充方法对 PTSD 结果的影响。研究包括 19 项随机对照试验,共有 1173 名参与者的数据。随机效应模型产生了小到中等范围的统计学显著 ES(ES=-0.39,p<0.001,95%CI[-0.57,-0.22])。干预类型、研究人群、结果测量或对照条件之间没有明显差异。然而,对于样本量≤30 的研究,ES 略高(ES=-0.78,k=5)。这些发现表明,冥想和瑜伽是治疗成年人 PTSD 的有前途的补充方法,值得进一步研究。

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